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一种下一代抗生物膜银 Hydrofiber 伤口敷料对猪模型深部分厚度伤口的愈合效果。

The wound-healing effects of a next-generation anti-biofilm silver Hydrofiber wound dressing on deep partial-thickness wounds using a porcine model.

机构信息

Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.

ConvaTec Limited, Flintshire, UK.

出版信息

Int Wound J. 2018 Oct;15(5):834-839. doi: 10.1111/iwj.12935. Epub 2018 Jun 11.

Abstract

Topical antimicrobials are widely used to control wound bioburden and facilitate wound healing; however, the fine balance between antimicrobial efficacy and non-toxicity must be achieved. This study evaluated whether an anti-biofilm silver-containing wound dressing interfered with the normal healing process in non-contaminated deep partial thickness wounds. In an in-vivo porcine wound model using 2 pigs, 96 wounds were randomly assigned to 1 of 3 dressing groups: anti-biofilm silver Hydrofiber dressing (test), silver Hydrofiber dressing (control), or polyurethane film dressing (control). Wounds were investigated for 8 days, and wound biopsies (n = 4) were taken from each dressing group, per animal, on days 2, 4, 6, and 8 after wounding and evaluated using light microscopy. No statistically significant differences were observed in the rate of reepithelialisation, white blood cell infiltration, angiogenesis, or granulation tissue formation following application of the anti-biofilm silver Hydrofiber dressing versus the 2 control dressings. Overall, epithelial thickness was similar between groups. Some differences in infiltration of specific cell types were observed between groups. There were no signs of tissue necrosis, fibrosis, or fatty infiltration in any group. An anti-biofilm silver Hydrofiber wound dressing did not cause any notable interference with normal healing processes.

摘要

局部抗菌药物被广泛用于控制创面生物负荷并促进创面愈合;然而,必须在抗菌效果和非毒性之间取得良好平衡。本研究评估了一种含银的抗生物膜创面敷料是否会干扰无污染的深部分厚度创面的正常愈合过程。在使用 2 头猪的体内猪创面模型中,将 96 个创面随机分为 3 种敷料组之一:抗生物膜含银 Hydrofiber 敷料(试验组)、含银 Hydrofiber 敷料(对照组)或聚氨酯薄膜敷料(对照组)。在 8 天的时间内对创面进行研究,并在创伤后第 2、4、6 和 8 天,从每组的每个动物中取出 4 个创面活检,使用光学显微镜进行评估。与 2 种对照敷料相比,应用抗生物膜含银 Hydrofiber 敷料后,再上皮化率、白细胞浸润、血管生成或肉芽组织形成的速度没有统计学差异。总体而言,各组上皮厚度相似。组间观察到特定细胞类型浸润的一些差异。在任何组中均未发现组织坏死、纤维化或脂肪浸润的迹象。抗生物膜含银 Hydrofiber 创面敷料不会对正常愈合过程造成任何明显干扰。

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